J23--997-11-001 _Ship's_Docking_Report _Inspection_and_Services _provide_ SAMPLE .pdf

ITEM NO: 997−11−001

PRELIMINARY SPECIFICATION

USS (SSN− ) 997−11−001ITEM NO:

COAR:

NONECMP:

PLANNER:

SHIP:

PCN: NNSY−

DRYDOCK REQUIRED

SCOPE

REFERENCES

REQUIREMENTS

1.

2.

3.

1.2.1

1.3.1

Norfolk Naval Shipyard Dry Dock Number

Not Applicable

Location of Work:

Identification:

2.1

2.2

2.3

2.4

2.5

2.6

NAVSEA FORM 9997−1, Docking Report

NAVSEA FORM 9997−2, Docking Report

NAVSEA FORM 9997−3, Docking Report

NAVSEA FORM 9997−4, Docking Report

NAVSEA FORM 9997−5, Docking Report

− Rev J, SSN Submarine Docking Drawing

Ship’s Docking Report, Inspection and Services; provide

Record required data and submit in hard copy or approved transferrable media of applicable NAVSEA Forms 2.1 through 2.5 to Norfolk Naval Shipyard (NNSY)

Work Integration Zone Manager (WIZM) via the SUPERVISOR at least 10 days prior to undocking, providing a record of any changes of ship’s configuration, such as major weight alterations, cathodic or anodic protection installation, major hull or shell renewals and repairs, and underwater hull and tank preservation.

Identify paints, including MIL−SPEC, manufacturer, manufacture date, batch number, sequence, method of preparation, number of coats, and indicate whether touchup or complete repainting was accomplished to ship’s

1.1

1.2

1.3

Title:

3.1.1

3.1

SHIP:

DRYDOCK REQUIRED

(V)(G) "CERTIFY COMPLETION OF DRYDOCK RELATED WORK"

Maintain watertight integrity of the ship in drydock to a level four feet above the maximum waterborne draft. Provide temporary access closure plates and fasteners prior to removing plates, cutting access openings, or removing sea chest inlet/outlet equipment. Closure plates shall be available within a 4 hour time frame or as designated by the WIZM for emergency sealing of temporary openings. Seal access openings with closure plates when conditions warrant and at the end of each shift not immediately followed by another shift engaged in drydock work. Remove temporary closures when no longer required.

Prior to undocking, certify that Contractor responsible drydock work, including welding on interior surfaces of the underwater hull and Quality

Assurance requirements, is complete.

bottom, boot topping, rudders, struts, tanks, and shafts. When touchup or limited repairs are made, include a diagram or a grid description of the area.

Submit a list of sea valves worked. This list should include sea valves worked onboard ship and sea valves sent to a shop for repairs. List each item by number from ship’s docking plan, 2.6, or by space in which valve is located. Also give a brief description of type of valve, valve number and the service if work was accomplished by the Contractor.

Submit data for all repairs performed to the ship’s cathodic protection system including anode and reference cell replacement. Include the following information relating to the ship’s cathodic protection system as well;

Description of anodes (electric or alloy) on docking, name of primary and actual

Contractor performing work, first test data taken on docking including voltage and amperage, minimum and maximum at test of system, any repairs required to bring cathodic protection into specification after repairs.

Submit report of any rudder repairs and modifications, including associated journal dimensions and bearing clearances if work was accomplished by the Contractor.

When an area of hull plating removal makes temporary closure impractical, secure each vulnerable compartment in order to minimize potential damage. To the extent permitted by the scope and urgency of work, underwater hull operations shall be scheduled to maintain positive ship stability and maximum hull watertight integrity in the event of flooding.

Submit one legible copy, in hard copy or approved transferrable media, of a report listing results of the requirements of 3.3 to the WIZM via the

USS (SSN− )

3.1.2

3.1.3

3.1.4

3.2.1

3.3.1

3.2

3.3

SHIP:

DRYDOCK REQUIRED

NOTES

GOVERNMENT FURNISHED MATERIAL(GFM)

4.

5.

5.1

5.2

5.3

(V)(G) "WATERTIGHT INTEGRITY INSPECTION"

The WIZM will deliver a copy of the docking report (with required attachments) in 3.1 to Norfolk Naval Shipyard Code 253.

SUPERVISOR.

Accomplish a watertight integrity inspection of all Contractor work affecting watertightness of the hull and hull penetrations below the water level in company with Ship’s force and the WIZM.

Verify drydock is clear of work related equipment.

Install tank/void manhole covers prior to undocking; remove covers when ship is pierside to support ship’s work.

Copies each to the following address:

NNSY Code 253

Attn: Supervisor, Code 253

Building 33, Norfolk Naval Shipyard

Tel: (757) 396−7391

1. None.

1. None.

1. None.

LLTM

PUSH MATERIAL

KITTED MATERIAL

USS (SSN− )

3.3.2

3.3.3

3.3.4

4.1.1

4.1

DOCKING REPORT

NAVSEA 9997/1 (REV. 11-80)

0116-LF-099-9701 (Page 1 of 4) REPORT NAVSEA 9997-1

FROM:

DATE:

TO:

COMMANDING OFFICER, U.S.S.

PLACE DOCKED DATE DOCKED DATE UNDOCKED

POSITION NUMBER THIS DOCKING

DIST. S.R.P. TO AFTMOST KEEL BLOCK

DOCKING PLAN NUMBER

PLAN NUMBERS FOR ZINCS OR CATHODIC PROTECTION REASON FOR DOCKING

SHAFTS SHAFT DIAMETER

DESIGN CLEARANCE

MAXIMUM ALLOWANCE CLEARANCE READING TAKEN BY

BEARING

CLEARANCES WHEN

DOCKED

STERN TUBE INTERMEDIATE STRUT MAIN STRUT SERIAL

NO.

NO. BL.

PROPELLERS

FORWARD AFT FORWARD AFT FORWARD AFT

NO 1 OR STBD OUTBD

INBD. DIA.

NO 2 OR STBD OUTBD

PITCH

NO 3 OR STBD OUTBD

OUTBD. DIA.

NO 4 OR STBD OUTBD

BEARING MATERIAL

MATERIAL

INB’D OUTB’D

CONDITION OF SHAFTING AND MATERIAL

INB’D PLAN NO. AND REVISION

OUTB’D

RUDDER AND DIVING PLANES

POST DIAMETER

PORT

IN.

STARBOARD

CENTERLINE

BEARING CLEARANCE

CENTERLINE

SONAR REMOVED THIS DOCKING

DOME TYPE

SERIAL

SONAR EXISTING AT UNDOCKING

DOME TYPE

WORK DONE – INCLUDE PAINTING

0116-LF-099-9701 (Page 2 of 4) REPORT NAVSEA 9997-1

COATING APPLICATIONS ACCOMPLISHED THIS DOCKING

PRESERVATION DATA: Identify surface preparation method as either “100% blast,” “brushblast,” “hydroblast,” “mechanical-clean,” “hand-clean,” “detergent-wash,” “ solvent-wash,” or water-wash only.” Identify paints used by Navy formula number or commercial designation in proper sequence and number of coats. Indicate whether 100% recoating, touch-up and overall topcoating, or spot touch-up only is accomplished, by placing and “X” in the appropriate space. Identify tanks by name and frame numbers.

MATERIAL IDENTIFICATION DATA: Identify all pretreatment primers, anticorrosive coatings, and antifouling coatings used in shipbottom painting.

SHIPBOTTOM PRESERVATION DATA

LOCATION

METHOD

OF

PREPARATION

PAIN APPLICATION

PAINTS USED

100%

RECOAT

TOUCH-UP

AND

OVERALL

COAT

SPOT

TOUCH-

UP

ONLY

BOOT TOPPING

BOTTOM

RUDDERS AND STRUTS

SHAFTING

OTHERS

MATERIAL IDENTIFICATION OF SHIPBOTTOM PAINTS USED

PAINT MANUFACTURER DATE MANUFACTURED BATCH NO.

0116-LF-099-9701 (Page 3 of 4) REPORT NAVSEA 9997-1

TANK PRESERVATION DATA TANK PRESERVATION

TANK NAME

AND

LOCATION

METHOD

OF

PREPARATION

PAINT APPLICATION TANK NAME

AND

LOCATION

METHOD

OF

PREPARATION

PAINT APPLICATION

PAINTS

USED

0%

R E

C O

A T

TO

U

C H

-U P

A N

D

O V

E R

A

LL

C

AT

S P

O T

TO

U

C H

U

P O

LY

PAINTS

USED

0%

R E

C O

A T

TO

U

C H

-U P

A

E R

A

LL

C

AT

O T

TO

U

C H

U

P O

LY

SIGNATURE

SIGNATURE NAME, CLASS AND NUMBER OF SHIP

0116-LF-099-9701 (Page 4 of 4) REPORT NAVSEA 9997-1

REMARKS (Continue on separate sheet, if necessary)

INSTRUCTIONS

GENERAL:

1. From: Enter reporting activity.

2. Date: Enter date of report.

3. Place Docked: Naval Shipyard, station, industrial activity drydock number.

4. Docking Date: Enter date ship drydocked.

5. Undocking Date: Enter date ship is undocked.

6. Position No.: Enter position number employed when ship is drydocked.

7. Dist.: S.R.P. to aftmost keel block: Enter distance from Stern

Reference Point.

8. Docking Plan No.: List docking plan number and revision employed to drydock the ship.

9. Plan Numbers for Zinc or Cathodic Protection: Indicate applicable plan number for installation.

10. Reason for Docking: State major reason for drydocking, i.e., propeller repairs, sonar dome and hoist replacement, hull damage, regular overhaul, etc.

SHAFTS:

1. Enter shaft diameter, design clearance and maximum allowed clearance from information provided by ship, manufacturers instructions and Naval Ships Technical Manual.

2. Bearing Clearances: Enter existing bearing clearances determined upon docking for stern tubes, intermediate struts and main struts as applicable.

3. Readings Taken By: Enter name of supervisor taking readings and ship number.

4. Bearing Material: Enter appropriate symbol for type of bearing material in each box.

W – Wood PP – Phenolic Plastic R – Rubber O – Other (specify type)

5. Inspect shafting covering for completeness and adherence.

Inspect exposed metal surfaces of all outboard shafting. Report condition, i.e., good condition, cracks, scored, corroded, etc.

PROPELLERS: Enter propeller data for each propeller as determined by examination of hub stamping.

List the propeller material as follows:

M – Manganese Bronze N – Nickel Aluminum Bronze

A – Manganese Nickel Aluminum Bronze S – Stainless Steel P – Special (If special materials other than above are used, note under remarks) RUDDER AND DIVING PLANE DATA: Enter Post Diameter and bearing Clearance for each rudder and diving plane as determined by measurement at time of docking. Take such rudder bearing clearances as are practicable without unshipping the rudder. Use R for rudder and D for diving planes. Use F and A to designate forward and aft where necessary. Divide port and starboard columns where necessary.

Check rudder nut lock.

SONAR: report dome type and serial number. The serial appears on the skirt and in the shipping orders.

REMARKS: Note when extensive repair or replacement of plates, seams, rivets, etc., is accomplished, including data concerning locations, actions and description of conditions which necessitated actions. Include any other information considered desirable for reference purposes, such as special block heights or other departures from docking plan. Attach additional sheets if required.

SUPPLEMENTARY FORMS:

1. Propellers: Submit a supplementary form NAVSEA 9997/2

PROPELLER REPORT and/or NAVSEA 9997/3 PROPELLER REPORT – DETACHABLE BLADE DATA, ONLY if repairs are accomplished or, propellers or blades are replaced.

2. Shafts, Bearings, Fairwaters, Ropeguards and Stern Tube Seals: Submit supplementary form NAVSEA 9997/4, ONLY when repairs or replacements are made or when corrosion or wear is extensive or severe.

a. The sketch should be modified by crossing out excess bearings for systems with fewer bearings than sketched.

b. Use one form sheet for each line of shafting.

c. Clearance readings; identification of material; condition of material; and work accomplished on Bearings, Fairwaters, Ropeguards, Journals, Shaft Covering, Packing, and Stern.

Tube Seals should be indicated in each applicable box provided for the recording of the condition and work accomplished by entering the proper symbols. If the symbol “O” (Other) is used to indicate information, an Arabic number may be used, such as “2”, to refer to an explanatory footnote “2”.

3. Wooden Hull Data: Submit supplementary form NAVSEA 9997/5 for all wood-hulled Naval vessels and service craft, ONLY if major structural repairs are required.

PROPELLER

NAVSEA 9997/2 (11-77) (FORMERLY NAVSHIPS 9070/2) S/N 0116-LF-099-9705 NAVSEA RPT. 9997-2

SUBMITTED BY ALL SHIPYARDS AND STATIONS FOR ALL CLASSES OF SHIPS WHEN REPAIRS/REPLACEMENT ARE MADE DOCKING DATE

PROPELLERS, SHAFT LOCATON

CENTER

OUTBOARD NO. 1 INBOARD NO. 2 INBOARD NO. 3 OUTBOARD NO. 4

A

F

U

NUMBER OF BLADES

SERIAL NO.

Drawing no.

TYPE MATERIAL

CONDITION*

R E

P L A

C

NUMBER OF BLADES

Drawing no.

CONDITION*

*Detailed report when necessary on condition and repairs to be entered on reverse side of this sheet, supplemented with sketches and photographs.

(USE NAVSEA 9997/3 FOR DETACHABLE BLADE PROPELLERS)

SOLID PROPELLER (HUB) DATA DETACHABLE

NUMBER

DRAWING

NUMBER

SHIP

SUITABILITY

SHAFT

SUITABILITY

DIAMETER PITCH MANUFACTURER CONTRACT OR

JOB NO.

WEIGHT

SUBMIT PITCH MEASUREMENTS FOR PROPELLERS WHERE INFORMATION IS MISSING OR REQUESTED:

SKETCH OF DAMAGE OR LOCATION OF CAVITATION PITTING (IF ANY)

SHAFT NO. CHECK

1. TYPICAL BLADE. ALL ALIKE

2. ONLY ONE BLADE NO.

3. SUCTION BACK

4. PRESSURE FACE

5. HUB

3. SUCTION BACK

4. PRESSURE FACE

3. SUCTION BACK

4. PRESSURE FACE

3. SUCTION BACK

4. PRESSURE FACE

5. HUB

TRAILING

EDGE

LEADING

EDGE

TRAILING

EDGE

LEADING

TRAILING

EDGE

LEADING

EDGE

TRAILING

EDGE

LEADING

EDGE

TRAILING

EDGE

LEADING

EDGE

Serial No. Serial No. Serial No. Serial No.

SIGNATURE REPORTING ACTIVITY NAME, CLASS AND NUMBER OR VESSEL

PROPELLER DETACHABLE BLADE

NAVSEA 9997/3 (11-77)(FRONT) (FORMERLY NAVSHIPS 9070/3) S/N 0116-LF-099-9710 NAVSEA RPT. 9997-3

SUPPLEMENTARY SHEET (A), DOCKING REPORT, PROPELLERS, BLADES OF DETACHABLE BLADE PROPELLERS. REPORTING ACTIVITY

NOTES

1. LIST BLADE DATA ON REVERSE SIDE.

2. DETAILED REPORT WHEN NECESSARY ON CONDITION AND REPAIRS TO BE ENTERED IN REMARKS COLUMN ON REVERSE SIDE

OF THIS SHEET. SUPPLEMENTED AS NECESSARY WITH SKETCHES AND PHOTOGRAPHS.

u.s.s.

SHAFT

STARBOARD PORT

CENTER OUTBOARD NO. 1 INBOARD NO. 2 INBOARD NO. 3 OUTBOARD NO. 4

BLADE NO.

AS

FOUND

SERIAL NO. 1

CONDITION 2

REPAIRS 2

REPLACED

NAVSEA 9997/3 (11-77)(REVERSE) DETACHABLE BLADE DATA

DRAWING

NO.

SHIP

SUITABILITY

SHAFT

SUITABILITY

DIAMETER

MANUFACTURER

CONTRACT OR

JOB ORDER

WEIGHT

REMARKS

NAVSEA RPT. 9997-4

WOODEN HULL DATA (SEE REVERSE SIDE FOR INSTRUCTIONS) NAVSEA RPT. 9997-5

NAVSEA 9997/5 (11-77) (FRONT) (FORMERLY NAVSHIPS 9070/5)

S/N0116-LF-099-9720

TO: Commander, Naval Ship Systems Command, Department of Navy, Washington, D.C. 20362

PART A GENERAL INFORMATION

SHIPYARD WHERE CONSTRUCTED AND LOCATION:

DATE: / / FILE NUMBER:

DATE COMPLETION: / / REPORT IS FOR

NEW CONSTRUCTION REPAIR

PART C REPAIR ONLY

YARD DOING REPAIR WORK:

PART B PRESERVATON DETAILS

WERE ALL BOLT HOLES, END GRAIN, AND FAIRED SURFACES GIVEN A

THOROUGH APPLICATION OF PRESERVATIVES DURING CONSTRUCTION? YES NO

WOOD HULL REPAIR COST:

NOTE: NEW CONSTRUCTION – COMPLETE ITEMS A THRU G ONLY

REPAIR – COMPLETE ITEMS H THRU J AND APPLICABLE ITEMS A THRU G.

STATUS OF CRAFT

ACTIVE INACTIVE

MEMBER OR COMPONENT

A B C D E F G REPAIR IF INACTIVE – STORAGE WAS

COVERED UNCOVERED H I J

W O

O D

S P

E C

IE

L

M

IN

A T

E S

E R

V A

T

IV

B

U S

H

A K

C U

U M

E S

S U

U B

L E

P L A

N K

IN

G

C

M E

T

M

R

IN

E B

O R

C

Y

M

C H

AREA OF SERVICE OR STORAGE

TEMPERATE TROPICAL

EVIDENCE OF INSECT DAMAGE

YES - EXPLAIN NO

“NAILSICKNESS” REPLACEMENT

YES NO IF YES, NAME

FASTENER MATERIAL

WOOD SPECIES

1. APRON DECAY WAS IN

STEM AREA

MIDSHIP AREA

TRANSOM AREA

BILGE AREA

BEAM-SHELF AREA

2. BULHEADS

3. BULWARK STANCHIONS

4. BUTT BLOCKS

5. CHIME

6. CLAMP

7. COAMINGS EVIDENT CAUSE OF DECAY

FRESH WATER LEAKAGE

POOR VENTILATION

8. COVERING BOARD (PLANKSHEER)

9. DECK

10. DEADWOOD CHECK CORRECTIVE ACTION TAKEN

BETTER VENTILATION

BETTER DRAINAGE

RESERVATIVE USED

DURABLE SPECIES INSTALLED

TIGHTENED DECK SEAMS AND JOINTS

11 DECK BEAMS

12. FENDER

13. FILLER BLOCKS

14. FLOOR TIMBERS

15. FRAMES

16. GARBOARD CAULKING REPLACEMENT

BELOW w/l LIN FT

ABOVE w/L LIN FT

DECK w/L LIN FT

17. HORN TIMBER

18. KEEL

19. KEELSONS

20. PLANKING. INNER

21. PLANKING. OUTER

22. PLYWOOD – PLANKING

23. PLYWOOD – ALL OTHER UNPAINTED AREAS

BILGE BEAM SHELF 24. SHAFT LOG

25. SHEATHING (DIAGONAL. INNER) PRESERVATIVE APPLIED TO UNPAINTED

AREAS

YES NO

26. SHELF

27. SKEG NOTE: UNDER REMARKS EXPLAIN ALL

INSECT DAMAGE. DESCRIBE ANY COSTLY

MECHANICAL FAILURES WHICH

APPARENTLY ARE RECURRING FOR A

SPECIFIC TYPE OF CRAFT.

28. STEM

29. STERN POST

30. STRAKE – SHEAR

31. STRINGERS

32. WORM SHEATHING

REMARKS – NOTE GENERAL LOCATION OF FIBERGLASS & FLOATION MATERIAL. INCLUDE ALL ADDITIONAL PERTAIMENT DATA – ATTACH ADDITIONAL SHEET(S) WHEN NECESSARY.

SIGNATURE – COGNIZANT INSPECTOR: NAME, CLASS AND NUMBER OF CRAFT

NAVSEA 9997/5 (11-77)(REVERSE)

GENERAL INSTRUCTIONS

The Cognizant Inspector will complete and sign this report. Panned or typewritten reports are acceptable. Use of abbreviations listed in key will facilitate completion. Other abbreviations may be used if explained or in common usage.

PART A. Omit shipyard location and completion date for craft under repair.

PART S. This portion of the report records preservation measures incorporated during craft’s construction or repair. USE KEY ABBREVIATIONS FOR COLUMNS A AND C.

Col. A. Name wood species of which members or component is made.

Col. B. Check (X) if member or component is laminated, and check (XX) if individual laminations pressure treated.

Col. C. Name preservative used for preserving member or component.

Col&. D. E & F. Check method used to apply preservative.

Col. G. Check (x) if double planking cement (MIL-C-16245) was used beneath, between or upon the member or component. Check (xx) if synthetic rubber used.

Cols. H. I & J. Applicable only to repairs. Check cause(s) of removal of member or component. Check Columns A thru G to indicate materials used for replacement.

PART C. Complete for repaired ships and boats only.

KEY ABBREVIATIONS

WOOD SPECIES (Column A)

A – Ash CY – Cypress M - Mahogany RO - Red Oak SP - Southern Pine

CE - Cedar DF - Douglas Fir L – Larch WO - White Oak S – Spruce T - Teak

PRESERVATIVES (Column C)

ACA - Chemonite (Ammonical-Copper-Arsenite) CZC - Chromated-Zinc-Chloride

ACC - Celcure (Acid-Cupric-Chromate) CCZC - Copperized-Chromated-Zinc-Chloride

B - Boliden Salt E - Erdalith

CN - Copper Naphthenate P - Pentachlorophenol

T - Tanalith (Wolman Salts)